MRS. MARY SUSAN CLIPP


Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: 6123653100

MRS. MARY SUSAN CLIPP (NPI# 1003150194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003150194
Entity Type Individual
Full Name MRS. MARY SUSAN CLIPP
Credential CPNP-AC
Practice Address 2450 Riverside Ave
Minneapolis
MN 55454-1450
Mailing Address 3333 Harriet Ave
Minneapolis
MN 55408-3729
Practice Telephone 6123653100
Practice Fax Number 6123653110
Mailing Telephone 7735124511
Enumeration Date 2012-11-15
Last Update Date 2012-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
2036438 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2450 RIVERSIDE AVE
City MINNEAPOLIS
State MN
Zip Code 55454-1450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568462570 Sreejaya Veluvali Psychiatry & Neurology 2450 Riverside Ave, Minneapolis, MN 55454-1450 2005-08-01
1588265375 Fairview Health Services General Acute Care Hospital 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-11-06
1215535927 Katrina Joelle Christian Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 2020-10-14
1023616208 Jodi Renee Nelson Psychologist 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-11
1912504150 Pamela Norling Counselor 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1225635345 Trevor Ryan Goldsmith Nurse Anesthetist, Certified Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1215534342 Michelle L White Marriage & Family Therapist 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 2020-10-01
1295341048 Tobias Zander Donlon Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-17
1417562497 Megan Farr Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-15
1871101238 Fairview Express Care General Practice 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467016477 Stephanie Karides Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404 2019-04-24
1780190736 Christine N Boline Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2017-12-28
1609394295 Andrea Erdmann Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2017-09-02
1659820264 Stacy Reller Nurse Practitioner 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 2016-09-23
1013382696 Brittany Lynn Jackson Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404 2015-12-07
1184053233 Kristin Greathouse Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2013-11-08
1376887448 Gretchen Anne Mcguire Nurse Practitioner 2530 Chicago Avenue South, Minneapolis, MN 55404-4289 2012-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780092239 Jennifer Elizabeth Snider Nurse Practitioner 81 Alden Cir Ne, Fridley, MN 55432-3024 2014-07-29
1841742533 Susanna Rose Tran Nurse Practitioner 200 University Ave E, Saint Paul, MN 55101-2507 2016-10-27
1992772107 Rachel Ellen Ridenour Herman Nurse Practitioner 5975 Carmen Ave, Inver Grove Heights, MN 55076-4416 2006-03-07
1982680682 Christine Roberta Poe Nurse Practitioner 7675 Madison St Ne, Fridley, MN 55432-2753 2005-12-15

Competitor

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City MINNEAPOLIS
Zip Code 55454

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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